Individual
DR. WILLIAM THOMAS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, PHD
Contact information
Practice address
1125 SE WASHINGTON ST., PULLMAN, WA 99111
(509) 335-3575
(509) 336-7389
Mailing address
1125 SE WASHINGTON ST., PULLMAN, WA 99111
(509) 335-3575
(509) 336-7389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
AP30005329
WA
103T00000X
Psychologist
PY12342713
—
103TB0200X
Cognitive & Behavioral Psychologist
PY00002713
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30005329
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNS-11A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30005329
WA LICENSE
WA
01
—
CNS-11A
IDAHO STATE LICENSE
ID
01
—
RN00132277
WA LICENSE
WA
Enumeration date
05/26/2006
Last updated
03/07/2023
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